Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.18 / $1,259.18 / $4,338.00	Facility		$1,259.18	$1,259.18	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,048.44 / $1,259.18 / $3,439.88	Professional		$1,048.44	$1,259.18	$3,439.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,737.75 / $2,875.66 / $3,594.57	Professional		$2,737.75	$2,875.66	$3,594.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,252.36 / $2,128.01 / $3,481.69	Facility		$1,252.36	$2,128.01	$3,481.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,466.41 / $2,444.02 / $9,347.52	Professional		$1,466.41	$2,444.02	$9,347.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,060.00 / $3,287.23 / $5,269.25	Facility		$2,060.00	$3,287.23	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,656.00 / $2,747.43 / $3,416.82	Professional		$1,656.00	$2,747.43	$3,416.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,519.26 / $2,075.87 / $2,442.05	Professional		$1,519.26	$2,075.87	$2,442.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,602.80 / $2,646.55 / $3,433.90	Professional		$1,602.80	$2,646.55	$3,433.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,379.90 / $2,799.90 / $2,911.90	Professional		$2,379.90	$2,799.90	$2,911.90